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Toux Chronique

Introduction . Motif fr

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Toux Chronique

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    1. Toux Chronique DR KHALLOUFI 2007

    2. Introduction Motif fréquent de consultation 6% en médecine générale; 10à 30% en C de pneumologie 8millions de consultants en1994 aux USA Plusieurs milliards d’anti tussif /an Confusion toux-infection respiratoire = 50 à 70%de prescription d’ATB

    3. Qu’est ce que la toux ? La toux est un acte reflexe (de défense) constituée de trois phases successives --inspiration profonde --fermeture de la glotte(mise sous tension du thorax) --ouverture brusque de la glotte entrainant « une expiration rapide et sonore »

    4. physiopathologie Recepteurs: Effecteurs -Nez-sinus(V) musc resp -Pharynx(IV) (moto neuro) -Diaph-pericar(phrénique) diaphra -Larynx-trachée(XI) larynx Br-plèvre bronches Estomac trachée Oesophage CAE

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